Mariah Wilson Patrick, SLP is a medicare enrolled "Speech-language Pathologist" provider in Birmingham,al, Alabama. Her current practice location is
Glenwood, 150 Glenwood Lane, Birmingham,al, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 969-2880.
Mariah Wilson Patrick is licensed to practice in Alabama (license number 4639) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164208831.
Healthcare Provider's Profile
Full Name | Mariah Wilson Patrick |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | Glenwood, Birmingham,al, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164208831
- Provider Enumeration Date: 09/07/2023
- Last Update Date: 09/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 8325402639
- Enrollment ID: I20230919002874
Medical Identifiers
Medical identifiers for Mariah Wilson Patrick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164208831 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 4639 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mariah Wilson Patrick is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mariah Wilson Patrick, SLP Glenwood, 150 Glenwood Lane, Birmingham,al, AL 35242-5700 Ph: (205) 969-2880 | Mariah Wilson Patrick, SLP Glenwood, 150 Glenwood Lane, Birmingham,al, AL 35242-5700 Ph: (205) 969-2880 |
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